| NPI | 1891376836 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANTAE COPPOCK Owner/ Founder 267-241-1161 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2021-04-20 |
| Last Update Date | 2021-09-29 |